Minnesota Administrative Rules
Agency 196 - Human Services Department
Chapter 9510 - RATES FOR HEALTH CARE FACILITIES
SPECIAL NEEDS RATE EXCEPTION FOR VERY DEPENDENT PERSONS WITH SPECIAL NEEDS
Part 9510.1020 - DEFINITIONS

Subpart 1. Scope.

The terms used in parts 9510.1020 to 9510.1140 have the meanings given them in this part.

Subp. 2. Case manager.

"Case manager" has the meaning given it in part 9525.0004, subpart 4.

Subp. 3. Client.

"Client" means a person who is receiving training and habilitation services or intermediate care facility for the developmentally disabled services funded under the medical assistance program.

Subp. 4. Commissioner.

"Commissioner" means the commissioner of the Department of Human Services or a designated representative.

Subp. 5. County.

"County" means the county board of commissioners for the county which provides case management services to the client or the county board of commissioners' designated representative.

Subp. 6. Degenerative disease.

"Degenerative disease" means a category of neurological impairment such as Hurler's syndrome, tuberous sclerosis, Alzheimer's disease, or Huntington's chorea with a disorganization of motor function or chronic brain syndrome.

Subp. 7. Employee benefits.

"Employee benefits" means compensation actually paid to or for the benefit of the employees other than salary. Employee benefits include group health or dental insurance, group life insurance, pensions or profit sharing plans, governmentally required retirement plans, sick leave, vacations, and in kind benefits. Employee benefits do not include payroll-related costs.

Subp. 8. Equipment.

"Equipment" means aids designed to increase a client's ability to live and function independently which are purchased for the client, remain the property of the client and can be moved with the client upon discharge.

Subp. 9. Intermediate care facility for the developmentally disabled or ICF/DD.

"Intermediate care facility for the developmentally disabled" or "ICF/DD" means a program licensed to serve residents with developmental disabilities under Minnesota Statutes, section 252.28, and a physical plant licensed as a supervised living facility under Minnesota Statutes, chapter 144, which together are certified by the Minnesota Department of Health as an intermediate care facility for the developmentally disabled.

Subp. 10. Medical review team.

"Medical review team" means a group of physicians and social workers who are under contract with the Department of Human Services to review a medical and social history for the purpose of determining a person's disability within the scope of the regulations of the Social Security Administration.

Subp. 11. Provider.

"Provider" means the person or entity operating a licensed training and habilitation service or an ICF/DD.

Subp. 12. Payroll-related costs.

"Payroll-related costs" means the employer's share of social security withholding taxes, workers' compensation insurance or actual cost if self insured, and state and federal unemployment compensation taxes or costs.

Subp. 13. Special needs rate exception payment.

"Special needs rate exception payment" means a payment established under parts 9510.1020 to 9510.1140.

Subp. 14. Staff intervention.

"Staff intervention" means the direct client care provided by program personnel or outside program consultants, or the training of direct care program personnel by outside program consultants for the purpose of addressing the client's needs as identified in the special needs rate exception application.

Subp. 15. Regional treatment center.

"Regional treatment center" means an ICF/DD or nursing home owned and operated by the state of Minnesota.

Subp. 16. Training and habilitation services.

"Training and habilitation services" means health and social services provided under Minnesota Statutes, sections 252.40 to 252.46. For purposes of parts 9510.1020 to 9510.1140, training and habilitation services do not include training and habilitation services provided as a waivered service as defined in Minnesota Statutes, section 256B.501, subdivision 1, and parts 9525.1800 to 9525.1930.